1996, 06-28 Permit App: 96005040 MHPROJECT NUMBER= 96005040 APPLICATION
DATE= 06/28/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18216 E SPRAGUE AVE PARCEL#= 55191.0401
ADDRESS= GREENACRES WA 99016
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT#= 005807 PLAT NAME= SP -1054-96
BLOCK= LOT= a 7 ZONE= UR -3.5 DIST#= G
AREA= 00012822 F/A= F WIDTH= 115 DEPTH= 115 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= PRICE, DOROTHY
STREET= 18212 E SPRAGUE AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 924 6035
CONTACT NAME= DOROTHY PRICE/JAMES HERLIN PHONE NUMBER= 509 924 603,5
BUILDING SETBACKS: FRONT= 25 LEFT= 25 RIGHT= 10+ REAR= 5
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING L & I ALTERATION PERMIT
COMMENTS:
o.-ktdk_c-F,
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
DATE: 06/28/96
PLANNING LAND USE ACTION REQ'D/INVOLVED 5p /651,-169
COMMENTS: Acaret, ZUZ G/ C %Z'GO�.�p�C 7/3,/16)
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PROJECT NUMBER= 96005040 APPLICATION
DATE= 06/28/96 PAGE= 02
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1984 BONNAVILLA MODEL=
SERIAL#= WIDTH= 14 LENGTH= 66 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 1 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 11.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 65.50 .00 65.50
65.50
.00 65.50
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
LABOR & INDUSTRIES ALTERATION PERMIT REQUIREMENTS MUST BE
MET PRIOR TO OCCUPANCY OF MOBILE HOME.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
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APPIACATI.ON INFORMATION
What is the JOB -SITE address?
des�1
Legal description as it appears on the rty, deed
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ASSESSOR'S tax parcel number?
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OWNER or OCCUPANT
Mailing address6)(_,
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Who should we contact r arddin11 this
Phone
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hat work is being done under this permit?
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Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
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Unfinished basement area
Mailing address
2nd4loor area '
i •
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Finished basement area
1
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Hohn
Sign
Width:' 4 "
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Length:
What is the square footage of
the sign face?
How,h(ph is the sign?
Year:
icral
Make:
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Installer n c�
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Wa State C tractor l_icgp e #
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Mailing address/
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Contractor
Wa State Contractor license #
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Tent
Paint booth _ Fire Alarm _ Fireveirks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
rue' Stor'dlge Tanks
�wl.mming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
• Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
O Underground utilities
O North arrow
O Septic tanks & wells